MENORRHAGIA. Heavy menstrual bleeding. AUB. Uterine bleeding.
Abnormal in volume, duration, and/or frequency.
CAUSES
PALM COEIN classification
POLYP, ADENOMYOSIS, LEIOMYOMA, Endometrial hyperplasia, malignant diseases, ovulatory dysfunctions, IUD, scar defect. . .
TREATMENT:
- Medications affecting blood clotting and uterine contraction.
1.
Abnormal in volume, duration, and/or frequency.
CAUSES
PALM COEIN classification
POLYP, ADENOMYOSIS, LEIOMYOMA, Endometrial hyperplasia, malignant diseases, ovulatory dysfunctions, IUD, scar defect. . .
TREATMENT:
- Medications affecting blood clotting and uterine contraction.
1.
Medications that increase blood clotting:
Tranexamic acid: An antifibrinolytic agent that reduces blood loss.
Brand names: Transamin, Ugurol.
Aminocaproic acid: Prevents clot dissolution, reducing bleeding.
Brand names: Amicar, Caprol.
2. Medications stimulating uterine contraction (uterotonics):
Oxytocin: A hormone that enhances uterine contraction: Syntocinon, Pitocin.
Methylergometrine: Increases uterine tone and contractions.
Brand names: Methergin, Methergine.
- Intrauterine system (IUS): Mirena, Jaydess
- High doses of COCs
- Other progestogens
TREATMENT OF ANEMIA
- Iron supplements
IBSA Ferro (Italy), Cardio SiderAL (Italy), Sorbifer Durules, Santeferra
- Ferinject for severe anemia IV.
Abnormal uterine bleeding in ADOLESCENTS
(irregular, heavy, intermenstrual bleeding)
Normal menstruation occurs every 24-38 days, regularity - the difference between the shortest and longest cycle is no more than 7 days; duration of menstruation is no more than 8 days; volume of menstruation is from 5 to 80 ml.
CAUSES OF BLEEDING in adolescents. . .
Anovulation, coagulation disorders, endocrine diseases, hypothalamic dysfunction, hormonal or intrauterine contraception, anatomical causes, medications, infections.
EXAMINATION
- CBC, glucose. . . Coagulogram
- STIs. . .
- SEX HORMONES. . .
- Ultrasound
TREATMENT
- Monophasic COCs
- Tranexamic acid (Italy)
- Progestins. . .
Micronized progesterone
- Subcutaneous implant
- IUS
TREATMENT OF ANEMIA
- Iron supplements
IBSA Ferro (Italy), Cardio SiderAL (Italy), Sorbifer Durules, Santeferra
- Ferinject for severe anemia IV.
Tranexamic acid: An antifibrinolytic agent that reduces blood loss.
Brand names: Transamin, Ugurol.
Aminocaproic acid: Prevents clot dissolution, reducing bleeding.
Brand names: Amicar, Caprol.
2. Medications stimulating uterine contraction (uterotonics):
Oxytocin: A hormone that enhances uterine contraction: Syntocinon, Pitocin.
Methylergometrine: Increases uterine tone and contractions.
Brand names: Methergin, Methergine.
- Intrauterine system (IUS): Mirena, Jaydess
- High doses of COCs
- Other progestogens
TREATMENT OF ANEMIA
- Iron supplements
IBSA Ferro (Italy), Cardio SiderAL (Italy), Sorbifer Durules, Santeferra
- Ferinject for severe anemia IV.
Abnormal uterine bleeding in ADOLESCENTS
(irregular, heavy, intermenstrual bleeding)
Normal menstruation occurs every 24-38 days, regularity - the difference between the shortest and longest cycle is no more than 7 days; duration of menstruation is no more than 8 days; volume of menstruation is from 5 to 80 ml.
CAUSES OF BLEEDING in adolescents. . .
Anovulation, coagulation disorders, endocrine diseases, hypothalamic dysfunction, hormonal or intrauterine contraception, anatomical causes, medications, infections.
EXAMINATION
- CBC, glucose. . . Coagulogram
- STIs. . .
- SEX HORMONES. . .
- Ultrasound
TREATMENT
- Monophasic COCs
- Tranexamic acid (Italy)
- Progestins. . .
Micronized progesterone
- Subcutaneous implant
- IUS
TREATMENT OF ANEMIA
- Iron supplements
IBSA Ferro (Italy), Cardio SiderAL (Italy), Sorbifer Durules, Santeferra
- Ferinject for severe anemia IV.
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150у.е.
Scientific names: Cordyceps Militaris, Cordyceps Sinensis Wild Cordyceps Sinensis – Caterpillar Fungus
Докладніше
13у.е.
One capsule contains: Tranexamic acid: 500 mg One 5 ml ampoule contains: Tranexamic acid: 500 mg
Докладніше
